These medications are contraindicated during pregnancy and breastfeeding when used for weight management, and effective contraception is advised for women of childbearing potential
The average diet supplies about 5 to 15 mcg/day of vitamin B 12 in a protein-bound form that is available for absorption after normal digestion
S.KarunakaranR.et al (2021)
These come in different sizes (gauge and length) and are selected based on the patients size and the muscle used
Before anyone considers GLP-1 therapy at any dose let me be clear about who needs to avoid these medications: Personal or family history of medullary thyroid cancer or MEN-2 syndrome contraindicated History of pancreatitis may not be safe Severe gastroparesis these drugs will worsen it Pregnancy or active conception planning not recommended These are real medications with real side effects: nausea, vomiting, constipation, gallbladder problems
Ann Hematol 100:24252433 Thiagarajan P, Parker CJ, Prchal JT (2021) How do red blood cells die
